• Title/Summary/Keyword: LBW

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Analysis and Cut-off Adjustment of Dried Blood Spot 17alpha-hydroxyprogesterone Concentration by Birth Weight (신생아의 출생 체중에 따른 혈액 여과지 17alpha-hydroxyprogesterone의 농도 분석 및 판정 기준 조정)

  • Park, Seungman;Kwon, Aerin;Yang, Songhyeon;Park, Euna;Choi, Jaehwang;Hwang, Mijung;Nam, Hyeongyeong;Lee, Eunhee
    • Journal of The Korean Society of Inherited Metabolic disease
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    • v.14 no.2
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    • pp.150-155
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    • 2014
  • The measurement of $17{\alpha}$-hydroxyprogesterone ($17{\alpha}$-OHP) in a dried blood spot on filter paper is an important for screening of congenital adrenal hyperplasia (CAH). Since high levels of $17{\alpha}$-OHP are frequently observed in premature infants without congenital adrenal hyperplasia, we evaluated cuts-off based on birth weight and performed validation. Birth weight and $17{\alpha}$-OHP concentration data of 292,204 newborn screening subjects in Greencross labopratories were analyzed. The cut-off values based on birth weight were newly evaluated and validated with the original data. The mean $17{\alpha}$-OHP concentration were 7.25 ng/mL in very low birth weight (VLBW) group, 4.02 ng/mL in low birth weight (LBW) group, 2.53 g/mL in normal birth weight (NBW) group, and 2.24 ng/mL in heavy birth weight (HBW) group. The cut-offs for CAH were decided as follows: 21.12 ng/mL for VLBW and LBW groups and 11.14 ng/mL for NBW and HBW groups. When applied new cut-offs for original data, positive rates in VLBW and LBW groups were decreased and positive rates in NBW and HBW groups were increased. The cut-offs based on birth weight should be used in the screening for CAH. We believe that our new cut-off reduce the false positive rate and false negative rate and our experience for cut-off set up and validation will be helpful for other laboratories doing newborn screening test.

Genetic parameter analysis of reproductive traits in Large White pigs

  • Yu, Guanghui;Wang, Chuduan;Wang, Yuan
    • Animal Bioscience
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    • v.35 no.11
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    • pp.1649-1655
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    • 2022
  • Objective: The primary objective of this study was to determine the genetic parameters for reproductive traits among Large White pigs, including the following traits: total number born (TNB), number born alive (NBA), litter birth weight (LBW), average birth weight (ABW), gestation length (GL), age at first service (AFS) and age at first farrowing (AFF). Methods: The dataset consisted of 19,036 reproductive records from 4,986 sows, and a multi-trait animal model was used to estimate genetic variance components of seven reproductive traits. Results: The heritability estimates for these reproductive traits ranged from 0.09 to 0.26, with the highest heritability for GL and AFF, and the lowest heritability for NBA. The repeatabilities for TNB, NBA, LWB, ABW, and GL were ranged from 0.16 to 0.34. Genetic and phenotypic correlations ranged from -0.41 to 0.99, and -0.34 to 0.98, respectively. In particular, the correlations between TNB, NBA and LBW, between AFS and AFF, exhibited a strong positive correlation. Furthermore, for TNB, NBA, LBW, ABW, and GL, genetic correlations of the same trait between different parities were moderately to strongly correlated (0.32 to 0.97), and the correlations of adjacent parities were higher than those of nonadjacent parities. Conclusion: All the results in the present study can be used as a basis for the genetic assessment of the target population. In the formulation of dam line selection index, AFS or AFF can be considered to combine with TNB in a multiple trait swine breeding value estimation system. Moreover, breeders are encouraged to increase the proportion of sows at parity 3-5 and reinforce the management of sows at parity 1 and parity ≥8.

Environmental Health Surveillance of Low Birth Weight in Seoul using Air Monitoring and Birth Data (2002년 서울시 대기오염과 출생 자료를 이용한 저체중아 환경보건감시체계 연구)

  • Seo, Ju-Hee;Kim, Ok-Jin;Kim, Byung-Mi;Park, Hye-Sook;Leem, Jong-Han;Hong, Yun-Chul;Kim, Young-Ju;Ha, Eun-Hee
    • Journal of Preventive Medicine and Public Health
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    • v.40 no.5
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    • pp.363-370
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    • 2007
  • Objectives: The principal objective of this study was to determine the relationship between maternal exposure to air pollution and low birth weight and to propose a possible environmental health surveillance system for low birth weight. Methods: We acquired air monitoring data for Seoul from the Ministry of Environment, the meteorological data from the Korean Meteorological Administration, the exposure assessments from the National Institute of Environmental Research, and the birth data from the Korean National Statistical Office between January 1, 2002 and December 31, 2003. The final birth data were limited to singletons within $37{\sim}44$ weeks of gestational age. We defined the Low Birth Weight (LBW) group as infants with birth weights of less than 2500g and calculated the annual LBW rate by district. The air monitoring data were measured for $CO,\;SO_2,\;NO_2,\;and\;PM_{10}$ concentrations at 27 monitoring stations in Seoul. We utilized two models to evaluate the effects of air pollution on low birth weight: the first was the relationship between the annual concentration of air pollution and low birth weight (LBW) by individual and district, and the second involved a GIS exposure model constructed by Arc View 3.1. Results: LBW risk (by Gu, or district) was significantly increased to $1.113(95%\;CI=1.111{\sim}1.116)\;for\;CO,\;1.004(95%\;CI=1.003{\sim}1.005)\;for\;NO_2,\;1.202(95%\;CI=1.199{\sim}1.206\;for\;SO_2,\;and\;1.077(95%\;CI=1.075{\sim}1.078)\;\;for\;PM_{10}$ with each interquartile range change. Personal LBW risk was significantly increased to $1.081(95%\;CI=1.002{\sim}1.166)\;for\;CO,\;1.145(95%\;CI=1.036{\sim}1.267)\;for\;SO_2,\;and\;1.053(95%\;CI=1.002{\sim}1.108)\;for\;PM_{10}$ with each interquartile range change. Personal LBW risk was increased to $1.003(95%\;CI=0.954{\sim}1.055)\;for\;NO_2$, but this was not statistically significant. The air pollution concentrations predicted by GIS positively correlated with the numbers of low birth weights, particularly in highly polluted regions. Conclusions: Environmental health surveillance is a systemic, ongoing collection effort including the analysis of data correlated with environmentally-associated diseases and exposures. In addition. environmental health surveillance allows for a timely dissemination of information to those who require that information in order to take effective action. GIS modeling is crucially important for this purpose, and thus we attempted to develop a GIS-based environmental surveillance system for low birth weight.

Improvement of LBW quality of Zircaloy-4 Spacer Grids for PWR Fuel Assembly (경수로 원전연료용 지르칼로이-4 지지격자 레이저용접품질 개선)

  • Kim, Soo-Sung;Song, Kee-Nam;Han, Hyoung-Jun
    • Journal of Welding and Joining
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    • v.24 no.5
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    • pp.22-28
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    • 2006
  • A spacer grid assembly, which is an interconnected array of slotted grid straps and is welded at the intersections to form an egg crate structure, is one of the main structural components of the nuclear fuel assembly for Pressurized Water Reactors (PWRs). The weld quality of spacer grids in PWRs fuel is extremely important for the fuel assembly performance in the nuclear renter. The spacer grid welds are currently evaluated mainly by the metallographic examination although it reveals only cross-points which are welded by the laser beam. This experiment is also to compare the weldability of Zircaloy-4 spacer grids using by the GTA and LB. The effect of node geometries of spacer grids for the GTAW and LBW has been studied and optimum conditions of spacer grid welding have been found. Microstructures and micro-hardness of the GTA and LB welded zones have been also compared.

Studies on Pharmacokinetic Parameters of Amikacin in Korean Patients (한국인 환자에서의 아미카신의 체내약물동태학적 파라메타에 관한 연구)

  • Yong, Jae-Ick;Kim, Ock-Nam;Moon, Min-Jung;Shin, Wan-Gyoon
    • Journal of Pharmaceutical Investigation
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    • v.20 no.1
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    • pp.19-28
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    • 1990
  • Pharmacokinetic parameters of aminoglycosides are dependent on renal function, sex, age, hematocrit, fever, lean body weight (LBW) and disease states, etc. Therefore, the individual pharmacokinetic parameters such as half life $(t^{1/2})$ and volume of distribution(Vd) are needed to achieve optimal therapy. However these parameters had not been determined in Koreans. The purpose of this study was to evaluate the Vd and $t^{1/2}$ of amikacin in Korean patients who had normal renal function, to compare the mean values of study group with that reported in the literature and to compare the measured $t^{1/2}$ with the expected $t^{1/2}$ based on actual body weight (ABW), LBW and ideal body weight (IBW), respectively. Based on data, the Vd was greater than the literature and $t^{1/2}$ was similar to the literature. The predicted $t^{1/2}$ based on IBW was the closest to actual $t^{1/2}$. And postpartum patients had greater Vd than other group and had lower correlation between actual elimination rate constant and calculated creatinine clearance but higher correlation between actual elimination rate constant and Vd than other group.

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Solidification Cracking Behavior in Austenitic Stainless Steel Laser Welds (Part 1) - Evaluation of Solidification Cracking Susceptibility by Laser Beam Welding Varestraint Test - (오스테나이트계 스테인리스강 레이저 용접부의 응고균열 거동 (Part 1) - 레이저 용접용 Varestraint 시험 시스템을 이용한 응고균열 민감도 평가 -)

  • Chun, Eun-Joon;Lee, Su-Jin;Suh, Jeong;Kang, Namhyun;Saida, Kazuyoshi
    • Journal of Welding and Joining
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    • v.34 no.5
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    • pp.54-60
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    • 2016
  • In order to quantitatively evaluate the solidification cracking susceptibility in laser welds of three types of austenitic stainless steels (type 310: A mode, type 316-A: AF mode, type 316-B: FA mode solidifications), the laser beam welding (LBW) transverse-Varestraint tests consisted of multi-mode fiber laser, welding robot and hydraulic pressure system were performed. As the welding speed increased from 1.67 to 40.0 mm/s, the solidification brittle temperature range (BTR) of laser welds for type 316 stainless steels enlarged (316-A: from 37 to 46 K, 316-B: from 14 to 40 K), while the BTR for type 310 stainless steel reduced from 146 to 120 K. In other words, it founds that solidification cracking susceptibility could not be simply mitigated through application of LBW process, and the BTR variation behavior is quite different upon solidification mode of austenitic stainless steels.

A Load Based Weight Multicasting Technique Design for efficient Multimedia Contents Delivery (효율적인 멀티미디어 컨텐츠 전송을 위한 부하 가중치 멀티캐스팅 기법의 설계)

  • Lee, Seo-Jeong;Kim, Seon-Ho
    • The Journal of Society for e-Business Studies
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    • v.9 no.3
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    • pp.277-288
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    • 2004
  • The purpose of multimedia contents transmission is to resolve the large size and nonformal issues. Various multicasting technologies have been researched to support these issues. This paper suggests a technique to build multicast routing for safe and reliable transmission of multimedia contents. Network server nodes have their own weight with respect to communication loads. The weight is computed by a server's communication load with others. This suggests low delay routing with two or more edge server of content delivery network. We will show the weighted inter-server routing technique and analyze the network performance improvement caused by lower network traffic and delay.

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The risk factors and prognosis associated with neonatal pulmonary hemorrhage (신생아 폐출혈 발생에 영향을 미치는 위험 인자 및 예후에 관한 고찰)

  • Park, Su-Jin;Yun, Ki-Tae;Kim, Won-Duck;Lee, Sang-Geel
    • Clinical and Experimental Pediatrics
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    • v.53 no.4
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    • pp.503-509
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    • 2010
  • Purpose : Although neonatal pulmonary hemorrhage is rare, it is associated with high mortality. We aimed to evaluate the risk factors associated with pulmonary hemorrhage in preterm infants and to describe the clinical course, including neonatal morbidity, of infants who developed pulmonary hemorrhage. Methods : We performed a retrospective case-control study of 117 newborn infants aged less than 37 gestational weeks admitted to the neonatal intensive care unit of Daegu Fatima Hospital between January 1995 and December 2008. Control group infants without pulmonary hemorrhage were matched according to the gestational age, duration of mechanical ventilation, and birth weight range (${\leq}100g$). Pulmonary hemorrhage was defined as the presence of hemorrhagic fluid in the trachea and severe respiratory decompensation. Results : Pulmonary hemorrhage occurred in 17 cases of very low birth weight infants (VLBW; birth weight < 1,500 g; median age, 3 days) and 22 cases of low birth weight infants (LBW; $1,500g{\leq}$ birth weight < 2,500 g; median age, 1 day). Antenatal maternal glucocorticoid treatment significantly reduced the incidence of pulmonary hemorrhage in VLBW infants. Low APGAR score (${\leq}3$ at 1 min) and acidosis at birth were associated with significantly high incidence of pulmonary hemorrhage in LBW infants. Conclusion : Antecedent factors and timing of pulmonary hemorrhage of LBW infants were different from those of VLBW infants. The mortality rates of VLBW and LBW infants were 88.2% and 45.5%, respectively. Pulmonary hemorrhage was the principal cause of death in 66.6% VLBW infants and 40.0% LBW infants.

Platelet count and mean platelet volume in low birth weight infants (≤2,000 g) with sepsis (패혈증에 이환된 저출생체중아(≤2,000 g)에서 혈소판수치와 평균혈소판용적의 변화)

  • Lee, Wan-soo;Cho, Jin-young;Yoo, Seung-taek;Lee, Chang-woo;Choi, Doo-young;Kim, Jong-duck;Oh, Yeon-kyun
    • Clinical and Experimental Pediatrics
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    • v.50 no.7
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    • pp.643-648
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    • 2007
  • Purpose : Sepsis is a common complication in Neonatal Intensive Care Units (NICU), seen especially in low birth weight (LBW) infants. A recent study showed that fungal or gram-negative sepsis is associated with a greater degree of thrombocytopenia than is seen with gram-positive sepsis. So, this study was undertaken to examine the platelet counts and platelet indices in LBW infants during episodes of sepsis. Methods : We analyzed 36 cases with culture-proven sepsis on chart review in LBW infants admitted to the NICU at Wonkwang University Hospital from January 2001 to June 2006. Results : Patients were grouped by organism type: gram-positive bacteria ($1,521{\pm}309g$, $31.3{\pm}2.9wk$, 15/36), gram-negative bacteria ($1,467{\pm}290g,\;30.6{\pm}3.6wk$, 17/36), and fungi ($1,287{\pm}205g,\;30.0{\pm}3.9wk$, 4/36). The most common organism was Staphylococcus epidermis and the incidence of thrombocytopenia was 88.9%. When compared with infants with gram-positive sepsis, those with gram-negative sepsis had significantly higher incidences of thrombocytopenia, lower initial platelet count, lower platelet nadir, and greater mean percentage decrease in platelet count from before the onset of sepsis. Those with fungal infections were similar to gram-negative sepsis, but they were not significant because of the small number of patients. And mean platelet volume (MPV) in sepsis was increased more significantly in time of platelet nadir than before the onset of sepsis. Conclusion : We conclude that decrease in platelet count was significantly greater in gram-negative sepsis than gram-positive sepsis, and also greater than fungal sepsis-which was insignificant because of the small number of patients-in LBW infants. And elevation in MPV will be helpful in the diagnosis and treatment of sepsis in LBW infants.

Air Pollution Exposure and Low Birth Weight of Firstborn Fetus -A Birth Cohort Study in Seoul, 1999-2003- (대기오염 노출이 첫 출산아 저체중에 미치는 영향에 관한 연구 -서울지역 1999년~2003년 출생코호트를 중심으로-)

  • Cho, Yong-Sung;Son, Ji-Young;Lee, Jong-Tae
    • Journal of Environmental Health Sciences
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    • v.33 no.4
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    • pp.227-234
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    • 2007
  • Recent epidemiologic studies show that gestational exposure to air pollution adversely affects pregnancy outcomes including low birth weight in preform birth. In this study, we evaluated the effect of air pollutants on LBW (low birth weight) on firstborn fetus throughout the gestational period using the birth cohort between 1999 and 2003 in Seoul. Using birth cohort data from the National Statistics Office of Korea we identified 288,346 firstborn births (excluded missing data on lack of information for birth weight and discordance between residential and certificated address from a total of 316,451) during 1999 to 2003 with complete covariate (gender, parity, date of birth, gestational age, parental age and educational level, maternal occupation etc.) and maternal residential history data. Our subjects were defined as more than 37 weeks and less than 44 weeks of completed gestation and we identified 5,457 persons (1.89%) by low birth weight (<2.5 kg) in this study. Using logistic regression, we estimated the risk of mean (entire pregnancy and trimester period) air pollution concentrations for CO, $O_3,\;PM_{10},\;NO_2\;and\;SO_2$. In terms of trimester-specific exposure, we found that some air pollutants exposure in each trimester would increase the risk for LBW. Results also showed that the effect size of air pollutants exposure during the first and third trimester is higher than during the second trimester. In all trimester, the estimated risk of LBW was 1.831 (95% CI=1.573-2.132) with unit increase for CO, 1.139 (95% CI=1.107-1.172) for 50, and 1.009 (95% CI=1.001-1.017) for $O_3$. Our results suggest that exposure during the gestation period to relatively low levels of some air pollutants may be associated with a reduction in birth weight on first-born fetus. These findings implicate the effective risk management strategies should be applied to minimize the public health impacts for pregnant women.